Nightmares during primary PCI: large thrombus burden management in an ectatic Left anterior Descending Coronary Artery

This case has been accredited by EBAC with 1 CME credit

A 61-year-old man was admitted to the catheterization laboratory for anterior STEMI. Coronary angiography revealed a large thrombus burden in an ectatic and occluded LAD. How would you treat this challenging case? 

EBAC

Authors

Dario Bongiovanni

Interventional Cardiologist / Cardiologist

Uniklinikum Augsburg - Augsburg, Germany

Antonio Landi

Interventional cardiologist / Cardiologist

Fondazione Cardiocentro Ticino - Lugano, Switzerland

Policlinico di Bari - Bari, Italy

Marco Valgimigli

Interventional cardiologist / Cardiologist

Fondazione Cardiocentro Ticino - Lugano, Switzerland